Amit Bilagi | Rajiv Gandhi University of Health Sciences (original) (raw)

Papers by Amit Bilagi

International Journal of Orthopaedics Sciences, 2020

Background: One of the leading diseases among the elderly population is Osteoarthritis of Knee, w... more Background: One of the leading diseases among the elderly population is Osteoarthritis of Knee, which occurs due to the destruction of articular cartilage by immunologic or mechanical factors. Collagen is the most abundant component of the cartilage. Collagen derivatives have shown to have disease modifying action in osteoarthritis. This study evaluates the ability of Undenatured Type II Collagen to improve knee symptoms in patients diagnosed with Osteoarthritis of knee. Method: A total of 60 patients who satisfied our inclusion and exclusion criteria were randomly distributed in two groups. One treated with 1500 mg/day of acetaminophen (group A; n=30) and the other treated with 10 mg/day of native type II collagen (group UC-II; n=30) for 3 months. Visual Analogue Scale (VAS) at rest and during walking, Western Ontario McMaster (WOMAC) pain and WOMAC function were recorded. Results: After 180 days of treatment, although there was overall reduction in WOMAC groups AC+ UCII was signif...

International Journal of Orthopaedics Sciences, 2021

Background and Aim: Open fracture of tibia is one of the most common injuries seen in ortho pedic... more Background and Aim: Open fracture of tibia is one of the most common injuries seen in ortho pedic practice. The appropriate treatment of open tibial fractures is one of the priority problems in modern era of traumatology. Present study was done with an aim to assess functional and clinical outcome after intramedullary locking nail fixation of open fracture shaft of tibia. Material and Methods: This prospective study was conducted in the Department of Orthopaedics, Gujarat Adani Institute of Medical Science, Bhuj, Kutch, Gujarat, India. 40 patients were treated over a period of 16 months with gentamicin coated tibia interlocking nail after taking written and informed consent. Antibiotic coated tibia interlocking nail with property of sustained release of gentamicin was used. The coating contains combination of gentamicin and biodegradable polymeric carrier Poly. An average size nail carries 100 mg (1 mg/cm2) gentamicin drug. Radiological Union was assessed using RUST Score and clinical assessment results were graded as excellent, good, fair and poor. Results: The most common cause of injury was found to be due to road traffic accident. Fibula fracture was associated with 92.5% of patients. Time taken in wound healing in majority of patients was less than 5 weeks (45%). Majority of patents (47.5%) had RUST score 8 at six months of duration. Two cases got infected in this study and in one case there was non-union. Average duration of hospital stay was 15 days. Large numbers of patients had fair outcome 45%. Conclusion: In this study we showed that use of antibiotic coated nail to treat open tibial fracture was associated with an absence of deep wound infections. Antibiotic coated tibia interlocking nail is a good treatment option for open tibial fractures, yields good functional outcome with less complications in these fractures and should be used whenever indicated.

International Journal of Orthopaedics Sciences, 2021

Background: Sciatica resulting from a lumbar intervertebral disc prolapse is the most common caus... more Background: Sciatica resulting from a lumbar intervertebral disc prolapse is the most common cause of radicular leg pain in adult working population. It can be treated with both conservative and operative methods. In our study, we have chosen open discectomy as an appropriate mode of surgical treatment for lumbar intervertebral disc prolapse. We assessed the surgical outcomes of patients treated with discectomy in lumbar disc prolapse. Objectives: To compare pre and post-operative back pain and leg pain using Visual Analogue Scale (VAS) and functional outcome using modified Oswestry Disability Index (ODI). Methods: 30 patients were included in this study and were followed up for up to 6 months postoperatively. We assessed the functional outcome of each patient with ODI and VAS post-operatively and at 6 months. Results: We found that males had higher incidence (60%) of disc prolapse. Majority of the patients presented with left sided radiculopathy (60%) and most commonly involving L4-L5 level (76.7%). The mean ODI and VAS score pre-operatively were 59.40±6.07 and 8 respectively, which improved to 15.12±5.15 and 1, respectively at 6 months post-operative follow-up. These were statistically highly significant. Conclusions: Our study established that open discectomy has a satisfactory functional outcome and leads to a significant improvement in the patients' quality of life.

International journal of orthopedics , 2022

To evaluate the efficacy of antibiotic-coated intramedullary locking nail in the open tibia fract... more To evaluate the efficacy of antibiotic-coated intramedullary locking nail in the open tibia fractures. Materials and Methods: It was a one-year clinical observational research at the Department of Orthopaedics, BIMS Medical college, Belagavi, which was conducted in a clinical setting. An interlocking tibia nail was used to treat 70 patients. Those with open fractures of the gustillo type 1, 2, and 3A, 3B were included in this research. There were excellent, good, fair and bad grades for RUST Scores and clinical evaluation scores. Result: Of the 70 patients, 44.28 percent belonged to 30-40 years age group, 28.57 percent were in the age group 40-50, and 20 percent were above 50. Males (72.86%) outnumbered females. The most prevalent cause of injury was a car collision, accounting for 55 (78.57%) of cases. 92.86 percent of patients had a femur fracture. Wounds healed in less than 6 weeks in 50% of patients, 6-8 weeks in 31.43%, 8-10 weeks in 10%. At six months, 40 patients (57.14%) had RUST score 9, 15 patients (21.43%) had RUSH score 11, and 6 patients (8.57%) had RUSH score 6. Out of 70 patients, 8 (11.14%) had great outcomes, 15 (21.43%) good, 41 (58.57%) fair, and only 6 (8.57%) had bad outcomes. Conclusion: Implant-related infection is a major stumbling block in the surgical treatment of tibia shaft fracture, according to the present study. Local administration of antibiotics might minimize the risk of infection.

International Journal of Orthopaedic Sciences, 2020

Background: One of the leading diseases among the elderly population is Osteoarthritis of Knee, w... more Background: One of the leading diseases among the elderly population is Osteoarthritis of Knee, which occurs due to the destruction of articular cartilage by immunologic or mechanical factors. Collagen is the most abundant component of the cartilage. Collagen derivatives have shown to have disease modifying action in osteoarthritis. This study evaluates the ability of Undenatured Type II Collagen to improve knee symptoms in patients diagnosed with Osteoarthritis of knee. Method: A total of 60 patients who satisfied our inclusion and exclusion criteria were randomly distributed in two groups. One treated with 1500 mg/day of acetaminophen (group A; n=30) and the other treated with 10 mg/day of native type II collagen (group UC-II; n=30) for 3 months. Visual Analogue Scale (VAS) at rest and during walking, Western Ontario McMaster (WOMAC) pain and WOMAC function were recorded. Results: After 180 days of treatment, although there was overall reduction in WOMAC groups AC+ UC-II was significantly better than AC for "night pain" (p= 0.040) and "resting pain" (p= 0.025). AC+ UC-II was significantly better than AC for "ascending stairs at 60 days and 180 days" (p=0.020 & 0.035 respectively), "at night while in bed" (p=0.020) at 60 days and difficulty walking on flat surface at 180 days (p=0.036). AC and UC-II was most effective and reduced VAS & WOMAC scores by 30%. Conclusion: The results suggest that undenatured type II collagen treatment combined with acetaminophen has more marked effect when compared to only acetaminophen for symptomatic treatment of patients with knee osteoarthritis.

International Journal of Orthopaedic Sciences, 2022

To evaluate the efficacy of antibiotic-coated intramedullary locking nail in the open tibia fract... more To evaluate the efficacy of antibiotic-coated intramedullary locking nail in the open tibia fractures. Materials and Methods: It was a one-year clinical observational research at the Department of Orthopaedics, BIMS Medical college, Belagavi, which was conducted in a clinical setting. An interlocking tibia nail was used to treat 70 patients. Those with open fractures of the gustillo type 1, 2, and 3A, 3B were included in this research. There were excellent, good, fair and bad grades for RUST Scores and clinical evaluation scores. Result: Of the 70 patients, 44.28 percent belonged to 30-40 years age group, 28.57 percent were in the age group 40-50, and 20 percent were above 50. Males (72.86%) outnumbered females. The most prevalent cause of injury was a car collision, accounting for 55 (78.57%) of cases. 92.86 percent of patients had a femur fracture. Wounds healed in less than 6 weeks in 50% of patients, 6-8 weeks in 31.43%, 8-10 weeks in 10%. At six months, 40 patients (57.14%) had RUST score 9, 15 patients (21.43%) had RUSH score 11, and 6 patients (8.57%) had RUSH score 6. Out of 70 patients, 8 (11.14%) had great outcomes, 15 (21.43%) good, 41 (58.57%) fair, and only 6 (8.57%) had bad outcomes. Conclusion: Implant-related infection is a major stumbling block in the surgical treatment of tibia shaft fracture, according to the present study. Local administration of antibiotics might minimize the risk of infection.

Journal of Orthopaedic Science and Research, 2021

Aims and Objectives: To observe the incidence of rotator cuff tears in patient with shoulder pain... more Aims and Objectives: To observe the incidence of rotator cuff tears in patient with shoulder pain and stiffness with help of USG. Introduction: All the shoulder pains associated with stiffness of shoulder and restriction of movements, according to literature are adhesive capsulitis with normal radiographs. The current study is conducted to observe the rotator cuff tears in patients with shoulder pain and stiffness. Methods: All patients with shoulder pain having stiffness and restrictions of movements, attending orthopedic OPD were evaluated clinically, radiologically and USG to identify rotator cuff tears. Most of the shoulders associated with pain and stiffness have normal radiological study and hence sonography was used to evaluate the rotator cuff tears as USG is a simple, cost effective and reliable investigation to assess soft tissues of the shoulder joint. Results: In our study we found that out of 51 patients, 24 (47.1%) patients with shoulder pain associated with stiffness and restriction of movements had associated capsular or tendon tears with majority being females. Conclusion: Therefore, all the patients having shoulder pain with stiffness and restricted movements and normal radiographs need to undergo ultrasound scan to rule out rotator cuff tears before continuing further treatment as most of the rotator cuff tears need intervention. USG is a reliable, simple and cost-effective method to rotator cuff tears. Keywords Shoulder Pain and Stiffness; Restricted Movements; Rotator Cuff Tear; Ultrasonography (USG)

International Journal of Orthopaedic Sciences, 2021

Background: Sciatica resulting from a lumbar intervertebral disc prolapse is the most common caus... more Background: Sciatica resulting from a lumbar intervertebral disc prolapse is the most common cause of radicular leg pain in adult working population. It can be treated with both conservative and operative methods. In our study, we have chosen open discectomy as an appropriate mode of surgical treatment for lumbar intervertebral disc prolapse. We assessed the surgical outcomes of patients treated with discectomy in lumbar disc prolapse. Objectives: To compare pre and post-operative back pain and leg pain using Visual Analogue Scale (VAS) and functional outcome using modified Oswestry Disability Index (ODI). Methods: 30 patients were included in this study and were followed up for up to 6 months postoperatively. We assessed the functional outcome of each patient with ODI and VAS post-operatively and at 6 months. Results: We found that males had higher incidence (60%) of disc prolapse. Majority of the patients presented with left sided radiculopathy (60%) and most commonly involving L4-L5 level (76.7%). The mean ODI and VAS score pre-operatively were 59.40±6.07 and 8 respectively, which improved to 15.12±5.15 and 1, respectively at 6 months post-operative follow-up. These were statistically highly significant. Conclusions: Our study established that open discectomy has a satisfactory functional outcome and leads to a significant improvement in the patients’ quality of life. Keywords: Intervertebral disc prolapse, radiculopathy, discectomy

International Journal of Orthopaedics Sciences, 2020

Chondromyxoid fibromas are extremely rare benign cartilaginous neoplasms with incidence <1% of al... more Chondromyxoid fibromas are extremely rare benign cartilaginous neoplasms with incidence <1% of all bone tumours. Most commonly seen before 30 years of age (75%) with slight male predilection. Most common location is proximal tibia (25%). Malignant degeneration is rare and high recurrence with curettage alone (80%) and four times lesser with curettage and bone grafting (20%). Case report: A 22 year old male presented with pain in the left knee since 1 year and swelling in the left leg since 6 months with no restriction of movements. Patient was investigated and lesion was confirmed to be chondromyxoid fibroma. Intraoperatively, mass was greyish with variable consistency. Curettage was done and the cavity was filled with cortico-cancellous bone graft. Histopathological examination confirmed it to be chondromyxoid fibroma and negative for malignancy. The intra and post-operative periods were uneventful. Limb was supported with long posterior slab post-operatively. Conclusion: Chondromyxoid fibromas are rarest benign cartilaginous neoplasms. Hence, it is important to consider differentials. Core needle biopsy of lesion is helpful before planning the procedure as the treatment options change significantly. Counselling for recurrence and malignant transformation to sarcomas is advisable. Keywords: Rare, neoplasm, benign

International Journal of Orthopaedics Sciences, 2020

Background: One of the leading diseases among the elderly population is Osteoarthritis of Knee, w... more Background: One of the leading diseases among the elderly population is Osteoarthritis of Knee, which occurs due to the destruction of articular cartilage by immunologic or mechanical factors. Collagen is the most abundant component of the cartilage. Collagen derivatives have shown to have disease modifying action in osteoarthritis. This study evaluates the ability of Undenatured Type II Collagen to improve knee symptoms in patients diagnosed with Osteoarthritis of knee. Method: A total of 60 patients who satisfied our inclusion and exclusion criteria were randomly distributed in two groups. One treated with 1500 mg/day of acetaminophen (group A; n=30) and the other treated with 10 mg/day of native type II collagen (group UC-II; n=30) for 3 months. Visual Analogue Scale (VAS) at rest and during walking, Western Ontario McMaster (WOMAC) pain and WOMAC function were recorded. Results: After 180 days of treatment, although there was overall reduction in WOMAC groups AC+ UCII was signif...

International Journal of Orthopaedics Sciences, 2021

Background and Aim: Open fracture of tibia is one of the most common injuries seen in ortho pedic... more Background and Aim: Open fracture of tibia is one of the most common injuries seen in ortho pedic practice. The appropriate treatment of open tibial fractures is one of the priority problems in modern era of traumatology. Present study was done with an aim to assess functional and clinical outcome after intramedullary locking nail fixation of open fracture shaft of tibia. Material and Methods: This prospective study was conducted in the Department of Orthopaedics, Gujarat Adani Institute of Medical Science, Bhuj, Kutch, Gujarat, India. 40 patients were treated over a period of 16 months with gentamicin coated tibia interlocking nail after taking written and informed consent. Antibiotic coated tibia interlocking nail with property of sustained release of gentamicin was used. The coating contains combination of gentamicin and biodegradable polymeric carrier Poly. An average size nail carries 100 mg (1 mg/cm2) gentamicin drug. Radiological Union was assessed using RUST Score and clinical assessment results were graded as excellent, good, fair and poor. Results: The most common cause of injury was found to be due to road traffic accident. Fibula fracture was associated with 92.5% of patients. Time taken in wound healing in majority of patients was less than 5 weeks (45%). Majority of patents (47.5%) had RUST score 8 at six months of duration. Two cases got infected in this study and in one case there was non-union. Average duration of hospital stay was 15 days. Large numbers of patients had fair outcome 45%. Conclusion: In this study we showed that use of antibiotic coated nail to treat open tibial fracture was associated with an absence of deep wound infections. Antibiotic coated tibia interlocking nail is a good treatment option for open tibial fractures, yields good functional outcome with less complications in these fractures and should be used whenever indicated.

International Journal of Orthopaedics Sciences, 2021

Background: Sciatica resulting from a lumbar intervertebral disc prolapse is the most common caus... more Background: Sciatica resulting from a lumbar intervertebral disc prolapse is the most common cause of radicular leg pain in adult working population. It can be treated with both conservative and operative methods. In our study, we have chosen open discectomy as an appropriate mode of surgical treatment for lumbar intervertebral disc prolapse. We assessed the surgical outcomes of patients treated with discectomy in lumbar disc prolapse. Objectives: To compare pre and post-operative back pain and leg pain using Visual Analogue Scale (VAS) and functional outcome using modified Oswestry Disability Index (ODI). Methods: 30 patients were included in this study and were followed up for up to 6 months postoperatively. We assessed the functional outcome of each patient with ODI and VAS post-operatively and at 6 months. Results: We found that males had higher incidence (60%) of disc prolapse. Majority of the patients presented with left sided radiculopathy (60%) and most commonly involving L4-L5 level (76.7%). The mean ODI and VAS score pre-operatively were 59.40±6.07 and 8 respectively, which improved to 15.12±5.15 and 1, respectively at 6 months post-operative follow-up. These were statistically highly significant. Conclusions: Our study established that open discectomy has a satisfactory functional outcome and leads to a significant improvement in the patients' quality of life.

International journal of orthopedics , 2022

To evaluate the efficacy of antibiotic-coated intramedullary locking nail in the open tibia fract... more To evaluate the efficacy of antibiotic-coated intramedullary locking nail in the open tibia fractures. Materials and Methods: It was a one-year clinical observational research at the Department of Orthopaedics, BIMS Medical college, Belagavi, which was conducted in a clinical setting. An interlocking tibia nail was used to treat 70 patients. Those with open fractures of the gustillo type 1, 2, and 3A, 3B were included in this research. There were excellent, good, fair and bad grades for RUST Scores and clinical evaluation scores. Result: Of the 70 patients, 44.28 percent belonged to 30-40 years age group, 28.57 percent were in the age group 40-50, and 20 percent were above 50. Males (72.86%) outnumbered females. The most prevalent cause of injury was a car collision, accounting for 55 (78.57%) of cases. 92.86 percent of patients had a femur fracture. Wounds healed in less than 6 weeks in 50% of patients, 6-8 weeks in 31.43%, 8-10 weeks in 10%. At six months, 40 patients (57.14%) had RUST score 9, 15 patients (21.43%) had RUSH score 11, and 6 patients (8.57%) had RUSH score 6. Out of 70 patients, 8 (11.14%) had great outcomes, 15 (21.43%) good, 41 (58.57%) fair, and only 6 (8.57%) had bad outcomes. Conclusion: Implant-related infection is a major stumbling block in the surgical treatment of tibia shaft fracture, according to the present study. Local administration of antibiotics might minimize the risk of infection.

International Journal of Orthopaedic Sciences, 2020

Background: One of the leading diseases among the elderly population is Osteoarthritis of Knee, w... more Background: One of the leading diseases among the elderly population is Osteoarthritis of Knee, which occurs due to the destruction of articular cartilage by immunologic or mechanical factors. Collagen is the most abundant component of the cartilage. Collagen derivatives have shown to have disease modifying action in osteoarthritis. This study evaluates the ability of Undenatured Type II Collagen to improve knee symptoms in patients diagnosed with Osteoarthritis of knee. Method: A total of 60 patients who satisfied our inclusion and exclusion criteria were randomly distributed in two groups. One treated with 1500 mg/day of acetaminophen (group A; n=30) and the other treated with 10 mg/day of native type II collagen (group UC-II; n=30) for 3 months. Visual Analogue Scale (VAS) at rest and during walking, Western Ontario McMaster (WOMAC) pain and WOMAC function were recorded. Results: After 180 days of treatment, although there was overall reduction in WOMAC groups AC+ UC-II was significantly better than AC for "night pain" (p= 0.040) and "resting pain" (p= 0.025). AC+ UC-II was significantly better than AC for "ascending stairs at 60 days and 180 days" (p=0.020 & 0.035 respectively), "at night while in bed" (p=0.020) at 60 days and difficulty walking on flat surface at 180 days (p=0.036). AC and UC-II was most effective and reduced VAS & WOMAC scores by 30%. Conclusion: The results suggest that undenatured type II collagen treatment combined with acetaminophen has more marked effect when compared to only acetaminophen for symptomatic treatment of patients with knee osteoarthritis.

International Journal of Orthopaedic Sciences, 2022

To evaluate the efficacy of antibiotic-coated intramedullary locking nail in the open tibia fract... more To evaluate the efficacy of antibiotic-coated intramedullary locking nail in the open tibia fractures. Materials and Methods: It was a one-year clinical observational research at the Department of Orthopaedics, BIMS Medical college, Belagavi, which was conducted in a clinical setting. An interlocking tibia nail was used to treat 70 patients. Those with open fractures of the gustillo type 1, 2, and 3A, 3B were included in this research. There were excellent, good, fair and bad grades for RUST Scores and clinical evaluation scores. Result: Of the 70 patients, 44.28 percent belonged to 30-40 years age group, 28.57 percent were in the age group 40-50, and 20 percent were above 50. Males (72.86%) outnumbered females. The most prevalent cause of injury was a car collision, accounting for 55 (78.57%) of cases. 92.86 percent of patients had a femur fracture. Wounds healed in less than 6 weeks in 50% of patients, 6-8 weeks in 31.43%, 8-10 weeks in 10%. At six months, 40 patients (57.14%) had RUST score 9, 15 patients (21.43%) had RUSH score 11, and 6 patients (8.57%) had RUSH score 6. Out of 70 patients, 8 (11.14%) had great outcomes, 15 (21.43%) good, 41 (58.57%) fair, and only 6 (8.57%) had bad outcomes. Conclusion: Implant-related infection is a major stumbling block in the surgical treatment of tibia shaft fracture, according to the present study. Local administration of antibiotics might minimize the risk of infection.

Journal of Orthopaedic Science and Research, 2021

Aims and Objectives: To observe the incidence of rotator cuff tears in patient with shoulder pain... more Aims and Objectives: To observe the incidence of rotator cuff tears in patient with shoulder pain and stiffness with help of USG. Introduction: All the shoulder pains associated with stiffness of shoulder and restriction of movements, according to literature are adhesive capsulitis with normal radiographs. The current study is conducted to observe the rotator cuff tears in patients with shoulder pain and stiffness. Methods: All patients with shoulder pain having stiffness and restrictions of movements, attending orthopedic OPD were evaluated clinically, radiologically and USG to identify rotator cuff tears. Most of the shoulders associated with pain and stiffness have normal radiological study and hence sonography was used to evaluate the rotator cuff tears as USG is a simple, cost effective and reliable investigation to assess soft tissues of the shoulder joint. Results: In our study we found that out of 51 patients, 24 (47.1%) patients with shoulder pain associated with stiffness and restriction of movements had associated capsular or tendon tears with majority being females. Conclusion: Therefore, all the patients having shoulder pain with stiffness and restricted movements and normal radiographs need to undergo ultrasound scan to rule out rotator cuff tears before continuing further treatment as most of the rotator cuff tears need intervention. USG is a reliable, simple and cost-effective method to rotator cuff tears. Keywords Shoulder Pain and Stiffness; Restricted Movements; Rotator Cuff Tear; Ultrasonography (USG)

International Journal of Orthopaedic Sciences, 2021

Background: Sciatica resulting from a lumbar intervertebral disc prolapse is the most common caus... more Background: Sciatica resulting from a lumbar intervertebral disc prolapse is the most common cause of radicular leg pain in adult working population. It can be treated with both conservative and operative methods. In our study, we have chosen open discectomy as an appropriate mode of surgical treatment for lumbar intervertebral disc prolapse. We assessed the surgical outcomes of patients treated with discectomy in lumbar disc prolapse. Objectives: To compare pre and post-operative back pain and leg pain using Visual Analogue Scale (VAS) and functional outcome using modified Oswestry Disability Index (ODI). Methods: 30 patients were included in this study and were followed up for up to 6 months postoperatively. We assessed the functional outcome of each patient with ODI and VAS post-operatively and at 6 months. Results: We found that males had higher incidence (60%) of disc prolapse. Majority of the patients presented with left sided radiculopathy (60%) and most commonly involving L4-L5 level (76.7%). The mean ODI and VAS score pre-operatively were 59.40±6.07 and 8 respectively, which improved to 15.12±5.15 and 1, respectively at 6 months post-operative follow-up. These were statistically highly significant. Conclusions: Our study established that open discectomy has a satisfactory functional outcome and leads to a significant improvement in the patients’ quality of life. Keywords: Intervertebral disc prolapse, radiculopathy, discectomy

International Journal of Orthopaedics Sciences, 2020

Chondromyxoid fibromas are extremely rare benign cartilaginous neoplasms with incidence <1% of al... more Chondromyxoid fibromas are extremely rare benign cartilaginous neoplasms with incidence <1% of all bone tumours. Most commonly seen before 30 years of age (75%) with slight male predilection. Most common location is proximal tibia (25%). Malignant degeneration is rare and high recurrence with curettage alone (80%) and four times lesser with curettage and bone grafting (20%). Case report: A 22 year old male presented with pain in the left knee since 1 year and swelling in the left leg since 6 months with no restriction of movements. Patient was investigated and lesion was confirmed to be chondromyxoid fibroma. Intraoperatively, mass was greyish with variable consistency. Curettage was done and the cavity was filled with cortico-cancellous bone graft. Histopathological examination confirmed it to be chondromyxoid fibroma and negative for malignancy. The intra and post-operative periods were uneventful. Limb was supported with long posterior slab post-operatively. Conclusion: Chondromyxoid fibromas are rarest benign cartilaginous neoplasms. Hence, it is important to consider differentials. Core needle biopsy of lesion is helpful before planning the procedure as the treatment options change significantly. Counselling for recurrence and malignant transformation to sarcomas is advisable. Keywords: Rare, neoplasm, benign